Clinical Documentation Integrity Coder

Summary

Join Aledade as a Clinical Documentation Integrity (CDI) Coder and play a critical role in ensuring accurate medical record coding. You will conduct comprehensive reviews of medical records, assigning diagnostic and procedural codes while adhering to strict guidelines and regulations. This position requires precision and efficiency to meet productivity benchmarks and support value-based care initiatives. Collaboration with the CDI team is essential to address documentation gaps and improve quality. Staying current with coding guidelines and contributing to compliance initiatives are key responsibilities. Aledade offers a comprehensive benefits package including flexible work schedules, remote work options, and various health and wellness benefits.

Requirements

• Current certification as a Certified Professional Coder (CPC), Certified Coding Specialist – Physician-based (CCS-P), Certified Risk Adjustment Coder (CRC)
• 2+ years of experience in medical coding, preferably in risk adjustment or outpatient settings
• Thorough understanding of ICD-10-CM, CPT, and HCPCS coding guidelines and CMS regulations
• Experience with coding for value-based care models and risk adjustment programs
• Strong attention to detail and the ability to work independently in a production-oriented environment
• Proficient with coding software and electronic medical record (EMR) systems

Responsibilities

• Conduct detailed reviews of medical records to accurately assign ICD-10-CM, CPT, and HCPCS codes ensuring compliance with coding guidelines and payer-specific regulations
• Meet or exceed established productivity and accuracy standards as defined by organizational goals
• Identify and report documentation deficiencies or discrepancies impacting coding accuracy
• Collaborate with the Clinical Documentation Integrity (CDI) team to address gaps and improve documentation quality
• Maintain up-to-date knowledge of coding guidelines, updates, and payer-specific requirements
• Support compliance initiatives by identifying trends, patterns, and areas requiring improvement where applicable
• Contribute to audits and coding quality assurance processes

Preferred Qualifications

• Certification in Clinical Documentation Integrity (e.g., CDEO®, CCDS-O)
• Experience working in a value-based care organization, health insurance companies, or Accountable Care Organization (ACO)
• Familiarity with Google Suite tools or similar platforms
• Bachelor’s degree in a healthcare-related field or equivalent experience

Benefits

• Flexible work schedules and the ability to work remotely are available for many roles
• Health, dental and vision insurance paid up to 80% for employees, dependents, and domestic partners
• Robust time off plan 21 days of PTO in your first year 2 Paid Volunteer Days & 11 paid holidays
• 12 weeks paid Parental Leave for all new parents
• 6 weeks paid sabbatical after 6 years of service
• Educational Assistant Program & Clinical Employee Reimbursement Program
• 401(K) with up to 4% match
• Stock options